低位小切口手术治疗甲状腺良性结节的效果

Low-position Small Incision Surgery for Benign Thyroid Nodules

目的探讨低位小切口手术治疗甲状腺良性结节应用效果及对患者术后并发症和生活质量的影响。方法回顾分析2016年4月~2019年10月在我院治疗的362例甲状腺良性结节患者临床资料,依据手术方式不同分为观察组(n=138)和对照组(n=224)。对照组给予传统甲状腺切除术治疗,观察组给予低位小切口术治疗,比较两组临床效果、手术相关指标、生活质量(QOL)评分、美观满意度评分以及并发症。结果观察组治疗总有效率为93.47%,高于对照组的84.37%(P<0.05);观察组手术时间长于对照组,术中出血量和手术切口均小于对照组(P<0.05);观察组QOL评分、美观满意度评分均高于对照组(P<0.05);随访6个月,观察组并发症发生率为5.07%,低于对照组的18.75%(P<0.05)。结论低位小切口治疗甲状腺良性结节有较高的手术效果,具有手术时间短,出血量少,切口小,并发症低且瘢痕小,有助于提高患者术后生活质量。

Objective To investigate the effect of low-position small incision surgery for benign thyroid nodules and its influence on postoperative complications and quality of life.Methods The clinical data of 362 patients with benign thyroid nodules treated in our hospital from April 2016 to October 2019 were retrospectively analyzed.According to different surgical methods,they were divided into observation group(n=138)and control group(n=224).The control group was treated with traditional thyroidectomy,and the observation group was treated with low-position small incision surgery.The clinical effects,surgery-related indicators,quality of life(QOL)scores,aesthetic satisfaction scores,and complications were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.47%,which was higher than 84.37% in the control group(P<0.05);the operation time of the observation group was longer than that of the control group,and the blood loss and surgical incision were smaller than those in the control group(P<0.05);QOL score and aesthetic satisfaction score were higher than those of the control group(P<0.05);follow-up for 6 months,the complication rate in the observation group was 5.07%,which was lower than 18.75% in the control group(P<0.05).Conclusion The low-position small incision had a high surgical effect in the treatment of benign thyroid nodules.It had a short operation time,less bleeding,a small incision,low complications and small scars,which could help improve the quality of life of patients after surgery.